RIBOCICLIB

ribociclib 200 mg tablet, 21
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Locally advanced or metastatic breast cancer
Treatment phase: Initial treatment

Restriction

Indication: Locally advanced or metastatic breast cancer
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 21 # of repeats: 5 DPMQ: $1,740.91 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Kisqali
ribociclib 200 mg tablet, 63
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Locally advanced or metastatic breast cancer
Treatment phase: Initial treatment

Restriction

Indication: Locally advanced or metastatic breast cancer
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 63 # of repeats: 5 DPMQ: $4,949.43 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Kisqali
ribociclib 200 mg tablet, 42
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Locally advanced or metastatic breast cancer
Treatment phase: Initial treatment

Restriction

Indication: Locally advanced or metastatic breast cancer
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 42 # of repeats: 5 DPMQ: $3,353.93 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Kisqali
ribociclib 200 mg tablet, 21
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Early breast cancer
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 21 # of repeats: 5 DPMQ: $1,740.91 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Kisqali
ribociclib 200 mg tablet, 42
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Early breast cancer
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 42 # of repeats: 5 DPMQ: $3,353.93 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Kisqali